Latasha Ann Clark
ExpiredIllinois license 049264395
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049264395
- Status
- Expired (Not Renewed)
- First issued
- April 11, 2019
- Expired
- March 31, 2021
- License holder
- Latasha Ann Clark
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/16/2020
Contact
Moline, IL 61265
Rock Island County